I have had problems with my back for over 6 years now and now have pain in all joints except ankles and elbows. This is starting to impact on my work situation and I am having to go to occupational health for assessment. My Gp's response has, mainly, been to give and increase painkillers, to the point where I am now prescribed 2 paracetamol 4 times a day and 60mg codeine up to 4 times a day. At its worst this has no effect at all on the pain. THis came to a head last week at work and I have made another appoinmtnet with the doctor for Monday. The problem is that I am scared to go in case he doesn't take me seriously. I have tried writing down how I feel but it doesn't seem to make any difference. I have good days and bad days and when its a good day then most people would think there was nothing wrong with me. On bad days I struggle to get out of bed and walk really badly etc etc. I wondered if you had any advice, other than writing things down, that might help me at the doctors? I have been told there are pain management clinics, although I have never been referred to one, or to a specialist of any sort. The doctors approach seems to be increase painkillers and learn to live with it. How can I get him to do something to help without it seeming like I am being awkward, neurotic or just a hypochondriac. I know I'm not being those things, and my work colleagues say I should go as they have seen me on bad days - but I am so scared of being dismissed again and not being able to stand up for myself.